About: Association between continuity of care and emergency department visits and hospitalization in senior adults with asthma-COPD overlap

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About: Association between continuity of care and emergency department visits and hospitalization in senior adults with asthma-COPD overlap Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Association between continuity of care and emergency department visits and hospitalization in senior adults with asthma-COPD overlap
Creator	Kao, Yu-Hsiang Ng, Yee-Yung Tseng, Tung-Sung Wu, Shiao-Chi
Source	Elsevier; Medline; PMC
abstract	Abstract Objective To investigate associations between continuity of care (COC) and emergency department (ED) visits and hospitalization for chronic obstructive pulmonary disease (COPD) or asthma among elderly adults with asthma-COPD overlap (ACO). Methods A retrospective cohort study was performed using the Taiwan National Health Insurance research database. A total of 1141 ACO patients aged ≥65 years during 2005–2011 were observed and followed for 2 years. The Bice and Boxerman COC index (COCI) was used to evaluate COC by considering ambulatory care visits duo to COPD or asthma in the first year; ED visits and hospitalization for COPD or asthma were identified in the subsequent year, respectively. The COCI was divided into three levels (COCI < 0.3= low, 0.3 ≤ COCI<1=medium, COCI = 1=high). The Cox model was used to estimate the hazard ratio (HR) for ED visits and hospital admissions due to COPD or asthma. Results The average COCI was 0.55. 21.3% patients received outpatient care from a single physician. Compared to patients with high COC, those with low and medium COC had a higher risk of ED visits (aHR = 2.80 and 2.69, P < .01) and admissions (aHR = 1.80 and 1.72, P < .05). Conclusion Increasing COC is beneficial for elderly patients with ACO in disease management. Policymakers could create effective pay-for-performance programs for the elderly ACO population to enhance COC and improve care outcomes.
has issue date	2019-02-28(xsd:dateTime)
bibo:doi	10.1016/j.healthpol.2018.11.005
bibo:pmid	30466799
has license	els-covid
sha1sum (hex)	02612805eaebdc70fd7dc11ff6e091c0ca9dfdac
schema:url	https://doi.org/10.1016/j.healthpol.2018.11.005
resource representing a document's title	Association between continuity of care and emergency department visits and hospitalization in senior adults with asthma-COPD overlap
has PubMed Central identifier	PMC7114593
has PubMed identifier	30466799
schema:publication	Health Policy
resource representing a document's body	covid:02612805eaebdc70fd7dc11ff6e091c0ca9dfdac#body_text
is schema:about of	named entity 'ambulatory care' named entity 'outpatient care' named entity 'COC' named entity 'visits' named entity 'enhance' named entity 'continuity' named entity 'CONTINUITY OF CARE' named entity 'HOSPITALIZATION' named entity 'LEVELS' named entity 'USING' named entity 'POPULATION' named entity 'SUBSEQUENT' named entity '2011' named entity 'TO INVESTIGATE' named entity 'DISEASE MANAGEMENT' named entity 'PERFORMANCE' named entity 'USED' named entity 'HOSPITAL ADMISSIONS' named entity 'ELDERLY PATIENTS' named entity 'INDEX' named entity 'AVERAGE' named entity 'CONCLUSION' named entity 'ASSOCIATIONS' named entity 'LOW' named entity 'DUE TO' named entity 'DIVIDED' named entity 'OBJECTIVE' named entity 'DATABASE' named entity 'ACO' named entity 'COC' named entity 'SINGLE' named entity 'AGED' covid:arg/02612805eaebdc70fd7dc11ff6e091c0ca9dfdac named entity 'SENIOR' named entity 'EMERGENCY DEPARTMENT VISITS' named entity 'COPD' named entity 'OUTPATIENT CARE' named entity 'INCREASING' named entity 'FOLLOWED' named entity 'RESEARCH' named entity 'IDENTIFIED' named entity 'RETROSPECTIVE COHORT STUDY' named entity 'ELDERLY ADULTS' named entity 'RISK OF' named entity 'OUTCOMES' named entity 'COX MODEL' named entity 'CARE' named entity 'HIGH' named entity 'HAZARD RATIO' named entity 'CREATE' named entity 'TOTAL' named entity 'BENEFICIAL' named entity 'COMPARED' named entity 'PROGRAMS' named entity '0.3' named entity 'PAY' named entity 'HOSPITALIZATION' named entity 'ASTHMA' named entity 'OVERLAP' named entity 'ADULTS' named entity 'ASSOCIATION' named entity 'EFFECTIVE' named entity 'ENHANCE' named entity '1.72' named entity 'ADMISSIONS' named entity 'PERFORMED' named entity 'TAIWAN' named entity 'RECEIVED' named entity 'PATIENTS' named entity 'OBSERVED' named entity 'EVALUATE' named entity 'VISITS' named entity 'CHRONIC OBSTRUCTIVE PULMONARY DISEASE' named entity 'CONTINUITY OF CARE' named entity 'NATIONAL HEALTH INSURANCE' named entity '0.55' named entity 'COPD' named entity 'RESULTS'

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